Category: Child / Adolescent - Anxiety

Symposium

Brief Behavioral Therapy for Anxiety and Depression in Pediatric Primary Care: Outcomes for Latino Youth

Saturday, November 18
3:30 PM - 5:00 PM
Location: Indigo Ballroom B, Level 2, Indigo Level

Keywords: Race / Ethnicity | Child Anxiety | Primary Care
Presentation Type: Symposium

Although Latino youth suffer from anxiety and depression at rates comparable to non-Hispanic White (NHW) youth (Anderson & Mayes, 2010), they are significantly less likely to receive mental health services for these conditions (Merikangas et al., 2011). There is a critical need for efficient and effective mental health services in settings that are accessible and acceptable, such as primary care. We recently reported results of a clinical trial comparing brief behavioral therapy (BBT) for anxiety and/or depression in primary care or assisted referral to care (ARC) (Weersing et al., in press); ethnicity was a moderator of treatment outcome wherein Latino youth had greater response rate to BBT (76%) and poorer response to ARC (7%) than non-Latino youth. This presentation will further describe Latino response to intervention by examining characteristics of the Latino sample and secondary outcomes within the Latino youth subgroup. At baseline, there were no significant differences between Latino (n=38) and NHW youths in levels of clinician-rated anxiety or youth-reported anxiety, depression, somatization, or impairment (all p>.05). Latino youth had lower levels of clinician-rated depression compared to NHW youth (p=.01). Latino youth also were younger on average (10.6 versus 11.5 years) and were less likely to have parents who had completed college (42% versus 70%). Compared to those in ARC, Latino youth who received BBT experienced higher rate of remission (23% vs. 73%, p=.008) and greater reductions in youth-reported anxiety and depression levels; clinician-rated anxiety and global severity; and parent-reported anxiety and impairment (all p<.05). Results of these secondary analyses suggest that BBT with Latino youth is a robust intervention for anxiety and depression, with consistent effects across reporters and definitions of outcome. The final presentation will include additional analyses to further understand the moderation results, including examination of BBT intervention engagement and homework compliance, parental involvement in BBT sessions, and receipt and quality of services in ARC.

Araceli Gonzalez

California State University Long Beach

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